Home Health OASIS Clinical QA Specialist

CenterWell • Raleigh, NC

7d • Hybrid

About The Position

Become a part of our caring community and help us put health first As a Registered Nurse OASIS QA Specialist at CenterWell Home Health, reporting to the Branch Director, you support a team of dedicated clinicians who deliver compassionate, high‑quality care in the home setting. By guiding clinical practice, conducting quality assurance reviews, and ensuring excellence in every step of the care journey, you'll empower patients to achieve their highest level of independence while helping your team thrive in their roles. Position Type: Remote/Hybrid Work Schedule: Full-time/40 Hours This role is primarily remote; however, candidates must live within a reasonable commuting distance to our Raleigh, NC branch. During the first few months of orientation, on‑site attendance Monday–Friday will be required. The position also includes occasional monthly on‑site meetings at our branch.

Requirements

• Graduate of an accredited School of Nursing.
• Current state license as a Registered Nurse.
• Proof of current CPR certification.
• Valid driver's license, auto insurance and reliable transportation.
• A minimum of 2 years of experience as a Registered Nurse.
• Traditional home health experience is required.
• OASIS experience is required.
• Must have experience with the following OASIS assessment types: starts of cares (SOC), resumption of cares (ROC), re-certifications, discharges from care (DC), and transfer of cares.
• Foundational knowledge and basic understanding of CMS PDGM is required.
• Knowledge of Medicare Conditions of Participation (COP) for home health is required.

Nice To Haves

• Management and people leadership experience is preferred.
• OASIS certification (HCS-O, COQS, and/or COS-C) is strongly preferred.
• Homecare Homebase (HCHB) experience is preferred.

Responsibilities

• Review and audit clinical documentation (OASIS, visit notes, plan of care) for accuracy, completeness, and compliance with Medicare/CMS accreditation standards.
• Collaborate with field-based clinicians to ensure timely submission of documentation and to resolve deficiencies or inconsistencies.
• Assist with OASIS accuracy and validation; ensuring data entry aligns with care plans and physician orders.
• Monitor outcome-based quality indicators and assist in developing performance improvement plans.
• Participate in quality improvement projects, internal audits, and regulatory survey readiness.
• Track and report quality metrics, trends, and areas for improvement to leadership.
• Provide staff education and support with compliance issues and documentation standards.
• Stay current on federal and state regulations related to home health care and quality assurance.

Benefits

• Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being.
• Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work.
• Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree